Laparoscopic Repair of Duodenal Ulcer Perforation in the Setting of Metastatic Disease

The perforation of a duodenal ulcer is a surgical emergency that is most commonly repaired using the Graham patch technique via a laparatomy. We present a laparoscopic repair of a perforated duodenal ulcer in a patient with advanced metastatic cancer. Laparoscopic repair is safe and technically feasible, and should be considered in selected cases where morbidity of an open approach is expected to be high.